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Multiple Adenomatous Polyps Arising in a Continent Reservoir Ileostomy

Overview
Journal Int J Colorectal Dis
Specialties Gastroenterology
General Surgery
Date 1987 Feb 1
PMID 3036976
Citations 10
Authors
S J Stryker
J A Carney
R R Dozois
Affiliations
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Abstract

In a 29-year-old man who presented with leakage from a continent ileostomy after proctocolectomy, endoscopic evaluation of the reservoir revealed extensive adenomatous polyposis. The polyps were not present at the time of revision of the reservoir 4 years earlier. Because it was not possible to fashion an adequate nipple valve in the presence of so many polyps and the concern over possible malignant transformation, the reservoir was excised. This is the second reported case of polyposis involving a continent reservoir ileostomy. Patients with a continent ileostomy constructed after proctocolectomy for polyposis coli should be evaluated endoscopically at regular intervals.

Citing Articles

Subsequent Adenomas of Ileal Pouch and Anorectal Segment after Prophylactic Surgery for Familial Adenomatous Polyposis.

MKoma A, Herline A, Adunyah S World J Colorectal Surg. 2014; 3(2).

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Risk of ileal pouch neoplasms in patients with familial adenomatous polyposis.

Tajika M, Niwa Y, Bhatia V, Tanaka T, Ishihara M, Yamao K World J Gastroenterol. 2013; 19(40):6774-83.

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Primary adenocarcinoma of ileostomy: case report with review of the literature.

Mohandas S, Lake S Case Rep Med. 2010; 2010:921328.

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Long-term outcome of familial adenomatous polyposis patients after restorative coloproctectomy.

Parc Y, Piquard A, Dozois R, Parc R, Tiret E Ann Surg. 2004; 239(3):378-82.

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Familial adenomatous polyposis: prevalence of adenomas in the ileal pouch after restorative proctocolectomy.

Parc Y, Olschwang S, Desaint B, Schmitt G, Parc R, Tiret E Ann Surg. 2001; 233(3):360-4.

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